"*" indicates required fields Project InformationLocation of BuildingStreet Address* Street Address Zoning District* What Cross Streets is it located between?* Subdivision* Lot* Block* Lot Size* Type and Cost of BuildingAll applicants complete parts A through C. D is used for "wrecking" most recent use. A. Type of Improvement*Select OptionNew Construction - Any TypeAddition Only (If residential, enter number of new housing units added, if any, in Part D, 13)Alteration (See 2 above)Repair, ReplacementWrecking (If multifamily residential, enter number of units in building in Part D, 13)MovingFoundation onlyB. Ownership* Private (Individual, corporation, nonprofit institution, etc.) Public (Federal, State, or Local Government) C. Cost of Improvement*Omit cents Cost of Installing Electric* Cost of Installing Plumbing* Cost of Installing Heating / Air Conditioning* Add Other InstallationsExample: ElevatorInstallationCost Add RemoveTotal Cost of Improvement*Include base cost plus the cost of the installations above. D. Proposed Use - for "Wrecking" most recent use.Is it residential or nonresidential? Residential Nonresidential ResidentialSelect OptionOne FamilyTwo or more familyTransient hotel, motel, or dormitoryGarageCarportOtherEnter number of Units Specify NonresidentialSelect OptionAmusement, recreationalChurch, other religiousIndustrialParking garageService station, repair garageHospital, institutionalOffice, bank, professionalPublic utilitySchool, library, other educationalStores, mercantileTanks, towersOtherSpecify Nonresidential - Describe in detail proposed use of buildings, e.g., food processing plant, machine shop, laundry building at hospital, elementary school, secondary school, college, parochial school, parking garage for department store, rental office building, office building at industrial plant. If use of existing building is being changes, enter proposed use.*Selected Characteristics of BuildingFor new buildings and additions, complete Parts E-L; For wrecking, complete only Part J; for all others skip to IVE. Principal Type of FrameSelect OptionMasonry (wall bearing)Wood FrameStructural SteelReinforced ConcreteOtherSpecify G. Type of Sewage Disposal Public or Private Company Private (septic tank, etc.) H. Type of Water Supply Public or Private Company Private (well, cistern) IA. Will there be central air conditioning? Yes No IB. Will there be an elevator? Yes No JA. Number of storiesJB. Total land area, sq. ftJC. Total square feet of floor area, all floors, based on exterior dimensionsKA. Number of Enclosed Street Parking SpacesKB. Number of Outdoors Street Parking SpacesLA. Number of BedroomsLB. Number of Full BathroomsLC. Number of Partial BathroomsIdentificationTo be completed by all applicants.Owner or Lessee Name* Owner or Lessee Mailing Address* Street Address City State ZIP Code Owner or Lessee Telephone No.*Owner or Lessee Fax No.Contractor Name* Contractor Mailing Address* Street Address City State ZIP Code Contractor Telephone No.*Contractor Fax No.Architect / Engineer Name* Architect / Engineer Mailing Address* Street Address City State ZIP Code Architect / Engineer Telephone No.*Architect / Engineer Fax No.Certification* I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction. Signature of Applicant* Application Date* Applicant Address* Street Address City State ZIP Code Email* Contractor Building License Number* Other InformationCAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Δ
